An acute subdural hematoma caused by rupture of a middle cerebral artery aneurysm

Dzhindzhikhadze R.S.; Dreval' O.N.; Lazarev V.A.; Kambiev R.L.

doi:https://doi.org/10.17116/neiro201781267-71

Dzhindzhikhadze R.S.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

Dreval' O.N.

Rossiĭskaia meditsinskaia akademiia poslediplomnogo obrazovaniia, Moskva

Lazarev V.A.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

ORCID: 0000-0001-9663-0960

Kambiev R.L.

Inozemtsev City Clinical Hospital, Moscow, Russia

An acute subdural hematoma caused by rupture of a middle cerebral artery aneurysm

Authors:

Dzhindzhikhadze R.S., Dreval' O.N., Lazarev V.A., Kambiev R.L.

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Journal: Burdenko's Journal of Neurosurgery. 2017;81(2): 67‑71

DOI: 10.17116/neiro201781267-71

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To cite this article:

Dzhindzhikhadze RS, Dreval' ON, Lazarev VA, Kambiev RL. An acute subdural hematoma caused by rupture of a middle cerebral artery aneurysm. Burdenko's Journal of Neurosurgery. 2017;81(2):67‑71. (In Russ., In Engl.)
https://doi.org/10.17116/neiro201781267-71

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)

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Abstract:

Acute subdural hematoma caused by cerebral aneurysm rupture is rare. We describe a clinical case of an acute subdural hematoma developed due to rupture of an aneurysm at the M1 segment bifurcation of the middle cerebral artery (MCA). The acute subdural hematoma associated with intracranial hypertension and transtentorial herniation resulted in a comatose condition. The patient underwent decompressive craniectomy, hematoma removal, and clipping of the aneurysm. A significant improvement was observed in the postoperative period. The patient was discharged with mild hemiparesis and moderate paresis of the oculomotor nerve. This case demonstrates the need for an urgent surgical intervention in the form of decompressive craniectomy and aneurysm clipping as life-saving surgery, even in patients with transtentorial herniation syndrome in a serious condition.

Keywords:

acute subdural hematoma

aneurysm rupture

middle cerebral artery

subarachnoid hemorrhage

Authors:

Dzhindzhikhadze R.S.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

Dreval' O.N.

Rossiĭskaia meditsinskaia akademiia poslediplomnogo obrazovaniia, Moskva

Lazarev V.A.

Kafedra neĭrokhirurgii GOU DPO RMAPO Roszdrava, Moskva

ORCID: 0000-0001-9663-0960

Kambiev R.L.

Inozemtsev City Clinical Hospital, Moscow, Russia

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References:

Belousova OB, Okishev DN. O probleme svoevremennoi gospitalizatsii bol'nykh s arterial'nymi anevrizmami v spetsializirovannoe neirokhirurgichekoe otdelenie (opyt NII neirokhirurgii im. akad. N.N. Burdenko RAMN). Vopr neirokhir im. N.N. Burdenko. 2009;(1):29-32. (In Russ.).
Dzhindzhikhadze RS, Dreval' ON, Lazarev VA. Dekompressivnaya kraniektomiya pri vnutricherepnoi gipertenzii. Nauch.-prakt. izdanie. М.: GEOTAR-Media. 2014. (In Russ.).
Khirurgiya anevrizm golovnogo mozga. Pod red. Krylova VV. M. 2012. (In Russ.).
Barton E, Tudor J. Subdural haematoma in association with intracranial aneurysm. Neuroradiology. 1982;(23):157-160. PMID: 7088286
Clarke E, Walton JN. Subdural haematoma complicating intracranial aneurysm and angioma. Brain. 1953;(76):378-404. doi:10.1093/brain/76.3.378
Hatayama T, Shima T, Okada Y, Nishida M, Yamane K, Okita S, Yoshida A, Noae Y, Shiga N. Ruptured distal anterior cerebral artery aneurysms presenting with acute subdural hematoma: report of two cases. No Shinkei Geka. 1994;(22):577-582. doi:10.2176/nmc.31.514
Hop JW, Rinkel GJ, Algra A, van Gijn J. Case-fatality rates and functional outcome after subarachnoid hemorrhage: a systematic review. Stroke. 1997;(28):660-664. doi:10.1161/01.str.28.3.660
Inamasu J, Saito R, Nakamura Y, Ichikizaki K, Suga S, Kawase T, Hori S, Aikawa N. Acute subdural hematoma caused by ruptured cerebral aneurysms : diagnostic and therapeutic pitfalls. Resuscitation. 2002;(52):71-76. doi:10.1016/s0300-9572(01)00433-6
Ishibashi A, Yokokura Y, Sakamoto M. Acute subdural hematoma without subarachnoid hemorrhage due to ruptured intracranial aneurysm-case report. Neurol Med Chir (Tokyo). 1997;(37):533-537. doi:10.2176/nmc.37.533
Kondziolka D, Bernstein M, ter Brugge K, Schutz H. Acute subdural hematoma from ruptured posterior communicating artery aneurysm. Neurosurgery. 1988;(22):151-154. doi:10.1227/00006123-198801000-00029
Marbacher S, Fandino J, Lukes A. Acute subdural hematoma from ruptured cerebral aneurysm. Acta Neurochir (Wien). 2010;(152):501-507. doi:10.1007/s00701-009-0521-0
Meyer F, Sandvoss G. Acute subdural hematoma associated with non- traumatic aneurysm rupture. Zentralbl Neurochir. 1997;(58):66-70. doi: 10.1007/s00701-009-0521-0
Missori P, Fenga L, Maraglino C, Rocchi G, Nardacci B, Calderaro G, Salvati M, Delfini R. Spontaneous acute subdural hematomas. A clinical comparison with traumatic acute subdural hematomas. Acta Neurochir (Wien). 2000;(142):697-701. doi:10.1007/s007010070115
Nowak G, Schwachenwald S, Kehler U, Müller H, Arnold H. Acute subdural haematoma from ruptured intracranial aneurysms. Acta Neurochir (Wien). 1995;(136):163-167. doi:10.1007/bf01410620
Oh SY, Kwon JT, Park YS, Nam TK, Park SW, Hwang SN. Clinical features of acute subdural hematomas caused by ruptured intracranial aneurysms. J Korean Neurosurg Soc. 2011;(50):6-11. doi:10.3340/jkns.2011.50.1.6
Ohkuma H, Shimamura N, Fujita S, Suzuki S. Acute subdural hematoma caused by aneurysmal rupture: incidence and clinical features. Cerebrovasc Dis. 2003;(16):171-173. doi:10.1159/000070598
O’Sullivan MG, Whyman M, Steers JW, Whittle IR, Miller JD. Acute subdural haematoma secondary to ruptured intracranial aneurysm : diagnosis and management. Br J Neurosurg. 1994;(8):439-445. doi:10.3109/02688699408995112
Otani N, Takasato Y, Masaoka H, Hayakawa T, Yoshino Y, Yatsushige H, Miyawaki H, Sumiyoshi K, Sugawara T, Chikashi A, Takeuchi S, Suzuki G. Clinical characteristics and surgical out- comes of patients with aneurysmal subarachnoid hemorrhage and acute subdural hematoma undergoing decompressive craniectomy. World Neurosurg. 2011;(75):73-77. doi:10.1016/j.wneu.2010.10.021
Pasqualin A, Bazzan A, Cavazzani P, Scienza R, Licata C, Da Pian R. Intracranial hematomas following aneurysmal rupture: experience with 309 cases. Surg Neurol. 1986;(25):6-17. doi:10.1016/0090-3019(86)90107-2
Schuss P, Konczalla J, Platz J, Vatter H, Seifert V, Guresir E. Aneurysm-related subarachnoid hemorrhage and acute subdural hematoma single-center series and systematic review. J Neurosurg. 2013;(118):984-990. doi:10.3171/2012.11.jns121435
Triantafyllopoulou A, Beaumont A, Ulatowski J, Tamargo RJ, Varelas PN. Acute subdural hematoma caused by an unruptured, thrombosed giant intracavernous aneurysm. Neurocrit Care. 2006;(5):39-42.doi: 10.1385/ncc:5:1:39
Weir B, Myles T, Kahn M, Maroun F, Malloy D, Benoit B, McDermott M, Cochrane D, Mohr G, Ferguson G. Management of acute subdural hematomas from aneurysmal rupture. Can J Neurol Sci. 1984;(11):371-376. PMID: 6467088
Westermaier T, Eriskat J, Kunze E, Günthner-Lengsfeld T, Vince GH, Roosen K. Clinical features, treatment, and prognosis of patients with acute subdural hematomas presenting in critical condition. Neurosurgery. 2007;(61):482-488. doi:10.1227/01.neu.0000290893.85072.f9
Krylov VV, Dash'jan VG. Subdural'nye gematomy pri razryvah arterial'nyh anevrizm golovnogo mozga. Nejrohirurgija. 1999;(2):19-23. (In Russ.).